Application Note Introduction

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PN33505
Application Note
Performance Characterization of the Purecell™
Select System for Enrichment of Mononuclear
Cells from Human Whole Blood
Introduction
Enriched mononuclear cells (MNC) from whole
blood (WB) are routinely used in numerous
research applications. Centrifugation-based methods utilizing density gradient reagents are regularly
performed for MNC enrichment and/or red blood
cell (RBC) debulking. While there are many density
media commercially available, Ficoll◆ is the gold
standard for this basic cell processing. Ficoll
processing occurs in an open system, with multiple
labor- and time-intensive steps, many of which
contribute to overall less-than-desired recovery
and processing reproducibility. There is a clear
need for a cell processing system that overcomes
the disadvantages of density gradient-based
methods. A simple, robust processing method
with improved cell recoveries and faster processing
times is necessary.
Pall has directed its extensive knowledge and
experience in blood cell interaction with fibrous
materials and medical device development toward
addressing these processing challenges. The
result is the introduction of the Purecell Select
System, utilizing Pall’s specialty materials, device,
and protocol. The Purecell Select System eliminates open-tube processing and is designed for
high MNC recovery from a rapid (8-15 minutes),
highly reproducible and easy-to-use system.
Additionally, the Purecell Select System has a
sterile fluid path with very few points of direct
user interaction.
The process is simple. First, the sample is transferred to the sample bag via a sterile Luer-Lok◆
port. The sample flows through the system under
gravity flow, and MNC are captured within the filter.
After flow has stopped, the user back-flushes the
filter with the optimized Harvest Solution to recover
the enriched MNC population. In this Application
Note, performance characterization of the Purecell
Select System is provided as a guide for customers.
In these studies, typical MNC and total white
blood cell (WBC) recovery, viability and system
reproducibility using WB is provided. In addition,
results from WB collected into different anticoagulants and fresh versus 24-hour WB is reported.
Data from WB volumes of 20-120 mL is also
provided. The Purecell Select System is tolerant
of these variables, showing high recoveries and
good viability of MNC in all cases.
The Purecell Select System’s speed and ease of
use hold great potential to advance the technology
for enriching rare cells or abundant MNC for
routine use in cell-based studies in the research
environment. With minimal sample manipulation
during processing, there is a significant reduction
in the risk of contamination and user-to-user
variation. Elimination of open-tube steps and
use of a needleless system reduce the risk
of contamination and user exposure to biohazard material.
Materials and Methods
Human WB Samples
• For most experiments, fresh units of human
whole blood collected in CPDA-1 anticoagulant
in a blood bag are held at ambient temperature
until use, unless otherwise noted in figure
legend and results section.
• Experiments are performed within 3 hours of
blood collection, except for experiments using
24-hour WB, as noted in figure legend.
Mononuclear Cell Enrichment by Filtration
(8-15 minutes total processing time)
• A syringe is used to transfer WB from blood
bag to filtration set. 50 mL is used for all
experiments unless otherwise noted.
• The WB passes through the Purecell Select
System by gravity flow.
• Cells are recovered by back-flushing
(i.e., reversing the direction of the flow)
with 24 mL sterile Purecell Select System
Harvest Solution.
Materials and Methods (continued)
Mononuclear Cell Enrichment Using Ficoll-Paque◆
• 2 or 8 mL of WB is diluted with an equal volume of phosphate buffer saline (PBS) and carefully layered onto 3 or
10 mL Ficoll-Paque (GE Healthcare) in a sterile 15 or
50 mL conical centrifugation tube (Falcon).
• The tubes are centrifuged at 400 x g for 30 minutes
at room temperature.
• The interface layer containing the mononuclear cells is
removed and transferred to a clean tube, and washed
twice with 15 mL of sterile PBS.
• The cells are centrifuged at 700 x g for 10 minutes.
• The final cell pellet is resuspended in PBS or Iscove’s
Media with 2% FBS.
Cell counts are generated on a Cell-Dyn◆ 1800 hematology
analyzer (Abbott Labs) following standard protocols. Triplicate
measurements are averaged for the concentrations of WBC,
RBC, granulocytes, mids (monocytes and other similarly-sized
cells), lymphocytes and platelets. Percent recoveries for each
sub-population are determined by calculating the number of
cells before and after the preparation using the following
formula:
Concentration of cells after
isolation procedure x volume
x 100
Concentration of cells before isolation
procedure x WB volume
Total number of MNC is determined by the
following formula:
(Concentration of lymphocyte + monocytes) x volume
Coefficient of Variation (CV) is determined by the
following formula:
(Standard deviation / mean) x 100
Three part differential for some experiments is based on
WBC counts from Cell-Dyn and lymphocyte, monocyte and
granulocyte percentages from forward versus side scatter
plots on a BD FACSCalibur◆ flow cytometer (BD Biosciences).
In other cases, these population determinations are based on
phenotypic data. The formula used is as follows:
(Concentration of WBC x volume x percent of population) / 100
Phenotype analysis by flow cytometry for cellular
composition of WB and cell mixtures obtained with the
Purecell Select System or Ficoll processing methods. Cell
surface marker antibody staining followed by analysis with
the BD FACSCalibur flow cytometer is performed using
standard protocols.
• Aliquots of cells are incubated with fluorophore-conjugatedantibodies to the differentiation markers CD3, CD14, CD19,
CD16+CD56, CD66b and CD45 (BD Biosciences) for
T cells, monocytes, B cells, NK cells, granulocytes, and
leukocytes, respectively.
• RBC are lysed with 1 x H-lyse Buffer (R&D Systems).
• WBC are pelleted by centrifugation at 500 x g for
5 minutes, the supernatant is removed, and the cells are
resuspended in PBS.
The percent positive for each of the surface markers in the
WBC population is determined. The WBC count from the
Cell-Dyn is used to calculate the total number of cells in
each group using the following formula:
(Concentration of WBC x volume x percent positive)
= number of cells
100
in each group
Results
Protocol Comparison
Although there are numerous ways to process WB for MNC
enrichment, we have focused on the most widely used
method – Ficoll density gradient centrifugation. The schematic
in Figure 1 illustrates the major differences between these two
methods (processing time and number of steps that directly
involve the user). The Purecell Select System requires approximately 8-15 minutes of total processing time for 50 mL of WB,
varying somewhat with changes in WB volume. In contrast,
Ficoll processing can take 2.5 hours or more, depending on
sample volume and number of samples processed. The
Purecell Select System process has only three steps for user
activity: transfer the sample to the input bag; back-flush the
filter with Harvest Solution; and, remove the bag containing
MNC enriched sample from the set. Capture of MNC on the
Purecell Select System filter occurs as the sample passes
through the filter under gravity flow. Conversely, Ficoll processing
is labor intensive, requiring many more user steps, including
two-fold sample dilution, careful layering of sample onto Ficoll,
collection of cells at the Ficoll interface, multiple wash steps,
and final resuspension of the cell pellet. The Purecell Select
System, with fewer steps and a sterile fluid path, reduces risk
of sample contamination as a result of processing. For users,
the needleless system provides an added safety measure by
minimizing risk of exposure to biohazard material. Additionally,
minimal user involvement means that multiple samples can be
processed at the same time. The system itself is very simple
to use, and different users within the same laboratory will see
equivalent performance.
Results (continued)
Figure 1
Comparison of Experimental Procedures
Figure 2
Percent Recovery of Major Cell Populations
90
Purecell
Select
System
Time
Transfer blood into
filtration set
Capture cells under
gravity flow
15 min
Carefully layer blood/PBS
onto Ficoll-Paque✦ Plus
Centrifuge at 400 x g
30 min. no brake
(Optional) Rinse with PBS
by gravity flow
Percent Recovery
80
70
Ficoll
60
50
40
30
20
Back-flush filter with
Harvest Solution to
recover cells
10
0
MN Lym Mo
G
no ran
C
ph
RB
C
Plts
Percent recovery of major cell types in 50 mL WB starting material, Purecell
Select System processed samples and Ficoll samples. Percent recovery is
calculated based on WBC, platelet and RBC concentration (Cell-Dyn 1800), and
percent lymphocytes, monocytes and granulocytes is based on phenotype data
(BD FACSCalibur system). Duplicates are averaged. Means +/- 1 SD from 6
donors are reported.
Remove upper layer
and transfer interface
containing cells to fresh
tube with PBS
Centrifuge at 700 x g
10 min.
Remove supernatant,
add PBS
Centrifuge at 700 x g
10 min.
Remove supernatant and
re-suspend cells in PBS
2.5 hr
Percent Recovery of the Major Cell Populations
Purecell Select System processing consistently results in
higher recovery of the lymphocytes and monocytes as
compared to Ficoll (orange bars, typically 65-95% and
45-90% for Purecell Select System lymphocytes and
monocytes, respectively; Figure 2 and data not shown).
MNC recovery from Ficoll processing of WB is significantly
lower (blue bars, typically 25-60%; Figure 2 and data not
shown). For all matched donor samples tested, percent
MNC recovery is consistently 20-50% higher for Purecell
Select System processing as compared to Ficoll density
gradient processing. Purecell Select System processing
typically results in 85-88% reduction in RBC and 65-85%
reduction in platelets. The residual RBC are a function of
the residual blood in the Purecell Select System device.
Thus, as more WB is processed, the percent reduction in
RBC increases (data not shown). Ficoll density gradient
preparation of human WB results in higher reduction of
RBC and granulocytes with variable reduction in platelets.
Granulocyte and platelet removal with Ficoll processing is
dependent on how cells are collected at the interface after
the first centrifugation step.
Cellular Composition of the WBC Preparations
and WB Starting Material
Phenotypic analysis of processed samples shows that the
Purecell Select System yields more cells of all types than are
recovered with Ficoll density gradient preparation (Figure 3).
The Purecell Select System exhibits a higher average number
of recovered cells for each leukocyte sub-group. This clearly
demonstrates a much greater yield of major MNC populations
as compared to Ficoll processing.
There is a great deal of donor-to-donor variation in pre- and
post-processing cell numbers; hence, the large error bars.
However, the Purecell Select System processing consistently
results in 20-50% greater recovery of MNC. Data for abundant
cell types is presented here. Recovery of rare or other cell
types is described in other Pall application notes.
Figure 3
Total Cell Number of Major Leukocyte Populations
180
160
140
Cell Number x 106
1 hr
120
100
80
60
40
20
0
T Cell
WB
B Cell
NK Cell
Mono
Purecell Select System
Gran
Ficoll
Total number of major cell types in 50 mL WB and processed samples. Phenotype
data (BD FACSCaliber system) averages from 6 donors +/- 1 SD are reported.
Purecell Select System Reproducibility, Single Donor
Reproducibility data from a single donor reflects the variability
in the processing without the confounding variability across
donors. A single donor WB sample is split into eight 50 mL
aliquots and processed using the Purecell Select System.
In addition, eight 2 mL aliquots from the same donor are
processed by Ficoll density gradient centrifugation. Table 1
shows the average percent recovery along with CV determination (percent standard deviation) for the major cell
populations. CVs for all WBC populations and platelets are
significantly lower with Purecell Select System processing as
compared to Ficoll density gradient processing, indicating much
less variability in the WB processing method. RBC reduction
levels are also highly reproducible. This is not a surprise as the
simplicity of the method serves to limit the variability typically
seen with Ficoll processing. Note that the Ficoll processing
CVs on RBC, granulocytes, and platelets are unusually high
because the total number of these cells is quite low in the Ficollprocessed product.
Table 1
Single Donor Reproducibility of Purecell Select System Versus
Ficoll Processing Methods
Percent Recovery
WBC
MNC Lymph Mono Gran
RBC
Plt
Purecell Avg
Select CV
System
58.7
2.7
80.9
2.0
84.7
2.0
63.9
4.3
42.2
5.4
13.8
2.2
21.8
13.1
Ficoll
19.5
8.5
43.2
7.8
47.5
8.1
24.0
11.3
2.1
20.2
0.1
30.0
2.8
26.5
Avg
CV
A single WB donor sample was split into 8 aliquots for processing with Purecell
Select System and Ficoll density gradient. The average recovery is calculated
from WBC number (Cell-Dyn 1800) and forward versus side scatter data from
flow cytometer.
WB Volume Testing, Purecell Select System Results
Using 20-120 mL of WB
The bar graph in Figure 4 shows total number of MNC and
granulocytes (left and right, respectively) and percent recovery
from the Purecell Select System processing of 20, 40, 80,
and 120 mL of human WB. As expected, the number of
MNC and granulocytes in the Purecell Select System sample
increases with increasing volume of WB (blue bars). There
is a slight decrease in the percent recovery of MNC as the
WB volume increases, as seen by the increasing gap
between cell number in the WB sample (orange bars)
and the Purecell Select System sample (blue bars) at
higher volumes. Interestingly, there is a dramatic decrease
in granulocyte recovery as the WB volume increases. This
results in a relatively greater enrichment of MNC as compared
to granulocytes with increasing volume. When the volume is
increased to 150 mL, there is a significant reduction in percent
MNC recovery (data not shown). Thus, 120 mL is the upper
limit recommended for this filter harvest set design.
Figure 4
Purecell Select System Total Cell Number and Recoveries from
20-120 mL of WB
500
Total Cell Number (x 106)
Results (continued)
400
71%
300
77%
200
85%
100
99%
31%
38%
55%
79%
0
20
40
80
120
Mononuclear Cells
WB
20
40
80
120
Granulocytes
Purecell Select System
Total number and percentage of mononuclear cells and granulocytes in WB
or Purecell Select System from indicated volume of WB (20, 40, 80, 120 mL).
Samples processed in duplicate. 20 mL volume from 3 donors; all others from
5 separate donors.
Comparison of Results From Fresh Versus
Day-old WB
Data in Table 2 shows that fresh and 24-hour WB (from
6 donors) work equally well when processed using the
Purecell Select System. There are no major differences in
percent recovery of the MNC (Table 2) or cell composition of
the samples (data not shown) between WB processed on the
day of collection or approximately 24 hours after collection. In
these experiments, processing of cells on the Purecell Select
System showed no negative impact on the viability of cells.
Post-processing viability was on average 4.2% (+/- 1.8) higher
for fresh WB and 6% (+/- 6.1) higher for 24-hour WB samples
when compared to the starting sample viability. This suggests
that some of the non-viable cells are not recovered in the
Purecell Select System sample.
Table 2
Fresh Versus 24-hour WB, Percent Recovery of MNC
and Total WBC Population
Sample Type
MNC Recovery
WBC Recovery
Fresh WB FH sample
80.1 +/- 9.9%
67.4 +/- 4.3%
24 hr. WB FH sample
76.4 +/- 5.6%
68.8 +/- 5.7%
Comparison of MNC and total WBC recovery (Cell-Dyn data) from matched
donors using fresh WB versus the same WB stored at 4 ºC overnight. Chilled WB
is equilibrated to room temperature prior to processing. Averages from 6 donors
+/- 1 SD are reported.
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Results (continued)
Conclusions
Comparison of Effect of Anticoagulants on Purecell
Select System Cell Recovery, Major Cell Populations
CPDA is the standard anticoagulant used for Purecell Select
System experiments as it is known to be very friendly to blood
cells. ACD and CPDA are commonly used anticoagulants in
blood banks. Heparin and EDTA are typically used in research
labs, with Na Citrate also used, but less frequently. An analysis
of the impact of these anticoagulants on recovery of the major
cell populations is shown in Figure 5. Single donor WB was
collected into these 5 anticoagulants. The individual and
averaged recovery data from 5 donors demonstrate that
ACD and Na Citrate consistently have high WBC recovery
and lower donor-to-donor variability (orange and blue bars).
CPDA also gives excellent recoveries and reproducibility
data not shown). Thus, ACD, CPDA, and Na Citrate anticoagulants are strongly recommended. There is evidence of
reduced recovery of MNC and platelets from WB collected
into EDTA (green bars). The effect of EDTA shows variability
across donors, but monocyte and granulocyte recoveries are
consistently the most effected. Li and Na Heparin gave the
most variable results across donors and may adversely affect
cell viability. Viability data from samples, measured at ~2 hours
and ~22 hours post-processing, shows a slight negative trend
on WBC viability with Heparin anticoagulant (data not shown).
This effect is more apparent after ~24-hour storage at 4 ºC
for both WB and Purecell Select System samples. Although
this effect is small, it has been reported by others.
Customer discussions regarding characteristics most desired
for MNC enrichment show three clear needs: fast sample
processing, easy-to-use method, and high recovery. We show
that Pall’s Purecell Select System takes a significant step
toward achieving these goals as well as reducing the risk
of contamination by eliminating open-tube processing. The
system is fast, processing 50 mL in ~8-15 minutes from start
to finish. It is easy to use, requiring minimal training and handson time. The system provides a sterile fluid path and needleless
ports for sample introduction and cell collection that are sterile
and swabable. Additionally, high MNC recoveries (typically
> 70% from 50 mL) are the norm, translating into 40-100%
more MNC than Ficoll processing on matched donors. The
system is sufficiently robust that good recovery and viability
can be achieved using WB volumes of 20-120 mL, WB
collected into any of the common anticoagulants, or day-old
WB samples. The ability to recover over 200 million MNC
in 10-20 minutes from a single 120 mL WB Purecell Select
System run is appealing to most customers. Although we
do not expect this system to replace Ficoll processing for all
applications, it seems likely that these advantages will have
significant benefits, particularly in cell-based research studies.
Figure 5
Anticoagulant Effect on Recovery of Major Cell Populations
Percent Recovery
Percent Recovery
100.0
80.0
60.0
40.0
20.0
0.0
WBC
Lymph
Mono
Gran
Na Citrate
EDTA
ACD
Na-Heparin
Li-Heparin
The percentage recovery of WBC, lymphocytes, monocytes, and granulocytes
in Purecell Select System samples using WB from single donors collected into
5 or 6 tubes (10 mL WB/tube) for each anticoagulant tested (ACD, EDTA, Na
Citrate, Li-Heparin, Na-Heparin). Prior to processing, WB from tubes containing
each anticoagulant is pooled. Recovery and composition are calculated based on
cell concentration determination as measured on the Cell-Dyn 1800 hematology
instrument and percent lymphocytes, monocytes and granulocytes based on
forward and side scatter data from the BD FACSCalibur system. Error bars show
SD across donors.
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© 2008, Pall Corporation. Pall,
, and Purecell are trademarks of Pall Corporation. ® indicates a
trademark registered in the USA. ◆Ficoll and Ficoll-Paque are trademarks of GE Healthcare Bio-Sciences.
Cell-Dyn is a trademark of Abbott Laboratories. BD FACSCalibur is a trademark of BD Biosciences. Luer-Lok
is a trademark of Becton-Dickinson.
This product, and its use, may be covered by one or more patents including US 6,544,751; EP 973,587.
1/09, 1.5K, GN08.2332
PN33505
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